(2)
Be credentialed to provide adult open
heart surgery services at the hospital where he or she is the medical director;
and

(3)
Actively perform open
heart procedures at the hospital where he or she is the medical director.

(B)
The provider of an
open heart surgery service shall have at least two thoracic surgeons on staff,
credentialed to perform open heart procedures at the hospital and actively
perform open heart procedures at the hospital.

(C)
The provider of an open heart surgery
service shall have competent and qualified staff available, including but not
limited to:

(1)
Surgical assistants to assist
the surgeon. A surgical assistant may be a resident, another physician or a
specially trained surgical assistant;

(2)
Cardiac anesthesiologists with special
training in the anesthetic and supportive requirements of open heart surgery;

(3)
Nursing staff that shall
include appropriate numbers of scrub nurses or technicians and circulating
nurses or technicians. A minimum of one scrub nurse and one circulating nurse
is necessary. Nursing staff shall be trained in cardiac surgical operating room
procedures;

(4)
A cardiac surgical
intensive care unit shall be staffed at the appropriate nurse patient ratio
commensurate with the acuity of the patients and the amount of time following
surgery that such care is necessary. Cardiac surgical intensive care nurses
shall have specialized training to develop the theoretical knowledge and
clinical skills required for the care of cardiac surgical patients; and

(5)
A minimum of two
perfusionists. Perfusionists shall be graduates of an approved circulation
technology training program or have equivalent training and experience.

(D)
In addition to the
requirements of paragraph (C) of this rule, an open heart surgery service shall
have appropriate staff available, including but not limited to pharmacists,
dieticians, respiratory therapists, physical therapists, cardiac rehabilitation
therapists, and social workers.

(E)
Staffing requirements of this rule may be
met by individuals with equivalent or greater qualifications if the
replacement's scope of practice encompasses the duties of the required staff.